PDF(Pubmed)
Abstract：
Tracheoesophageal puncture (TEP) followed by voice prosthesis placement stands as the primary method for voice rehabilitation after laryngectomy, heralded for its effectiveness. While generally well-tolerated, the procedure does pose potential long-term complications. These include prosthesis valve leakage, scarring, and prosthesis displacement, all of which can impede phonation capabilities. Of these, prosthesis leakage emerges as the most critical concern, precipitated by the progressive widening of the fistula. This complication can precipitate aspiration pneumonitis, stemming from the loss of physical separation between the esophagus and trachea. This case series details three instances where persistent tracheoesophageal fistula arose following TEP, necessitating surgical intervention. Herein, we present the clinical manifestations, surgical approach employing a simple two-layer closure, and ensuing outcomes.
摘要：
气管食管穿刺（TEP），然后放置语音假体是喉切除术后语音康复的主要方法。预示着它的有效性。虽然一般耐受性良好，该手术确实会带来潜在的长期并发症.这些包括假体瓣膜渗漏，疤痕,和假体移位，所有这些都会阻碍发声能力。其中,假体渗漏成为最关键的问题，由瘘管的进行性扩大沉淀。这种并发症会导致吸入性肺炎，源于食道和气管之间物理分离的丧失。本系列病例详述了TEP后出现持续性气管食管瘘的三个实例，需要手术干预。在这里，我们提出的临床表现，采用简单的两层闭合的手术方法，以及随之而来的结果。
